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20010886.pdfDATE RECEIVED �PERMITEXPIRES USE ZONE PERMIT NUMBER CITY OF EDMONDS S CONSTRUCTION PERMIT APPLICATION JOB ADDRESS La 3WNER NAMEft"E OF BUSINESS LAT NAMEISUDDIVISION NO, LOT NO LID NO, PRESS LID FEE S LING ADI pUBUC RIGHT OF WAY PER OFFICIAL STREET _ U. P­ft Rv EXISTING -- PROPOSED I --==.W Z_1Ty ZIP REQUIRED DEDJCATION� FT RV REQUIRED NAME YEs13 NO C3 P-PONSIBLE FOR EROSION CONTROLDRAINAGS ZIP ADDRESS AA FIRE REVIEWED By CITY IN P CRON PBOND SHORE IRE OR ADB# VARIANCE OR CU REGO OSTED CHECKED By -YES [3NO STATE LICENSE NUMBER PARCEL No SERA RUI SIGN AS HEIGHT XEMPI ALLO PROPISED co PLFIE E D PROPO ED ALLOWED e, 1 1 --2) PROPERTY TAX ACCOUNT "�On XP 00 g— LOT C VE BE REQUIRED SETBACKS (M PROPOSED SETBACKS (FT.) FRONT SIDE REAR FRONT UPSIDE REAR WNEW )Q RESIDENTIAL P E3 LUMBING I MECH ALLO D P SED I a 2b G [3 ADDITION 0 COMMERCIAL COMPLIANCE OR CHANGE OF USE PAR NO LOT AREA P G Rm E DATE REMODEL 0 APARTMENT SIGN REOD PROVIDED GRADING CYBE 0 >r1(E X Fn MMAR 0 REPAIR OTHER 0 DEMOLISH 0 TANK o G 0 ARAGET RETAINING WALL [:1 ROOKERY [3 RENEWAL Q;F-" 1 !0_0 NT CARPO R EXPLAIN. E OF USE, BUSINESS OR OF CO N Co Oc U CHECKED GROU av] "PE NUMBER Re BER " LUN OCCUPANT SPECIAL JNSPEC.Um J­ LOAD REQUIRED YES OF RIES ba STO UN. [3 DESCRIBE WORK TO BE DONE E RKS 1081FINAL INSPECTION RECY 5 INSPECTIONS PER USC Description FEE G-U % LOT a'-' V STED ImTE Plumbing PLAN CHECK NO: Mechanical MWORKTO BRUITT COVERS WORK To IC This PERMIT AUTM911E$=E=W�o�"�K=�'�46UPCIloN ON THE PuBu Grading SEDONE PFUVATI� 0 -)AnUL REQUIRE REIS, 810 UM DOMIUN (CU EWALKS BEES. ETC BE; StRot Engr. Review A" pEnMTTAPPLICATION: 'We FIT ED K ISTA FDWITHIN INDAYS Won [MORE Engf. Inspection PERMIT LIMM. 1 YEAR - PRO= SEE BACK OF PINK PERMIT M B INFORMATION T attic Mitigation 11, HER SPOUSE, HEIM. ASSAIG SUCCESORS No HOLD H MLESS E CI OF =TCN. BEHALF OF ,, R � INS, No A Fire Review N AGREES T.'R.E OM A D EMPLOYEE.. ANDAGE S 'C�g', he bFF a I EDMONDS j`F'AS�H=0G'ES OF WHATEVER S PER ITS UL NOT CU` ERM9. ISSUANCE OF TH M a CE OF THIS P CE Fire Inspection 9 FROM TH ISSU E OF C ORDI N MDUC ANYBEOUI EM DEEMED MODiFY. WMVE OR NfOnCE ORD, NCE PA ISION,' C a ABI TO ENFOnCE LandscapBIMP. 0 N OR LIU A WAITHI HAVE READ THIS APPLICATION*. THAT THE INFORMATION "ERES" Ac - Go THAT THE DULY AUTHORIZED AGENT (IF THAT � AN THE OWNER, OR CONSTRUC G G Is C=CTEAN�. IAGRE AND STATE LAWS REGULATIN TO -'LY WITH C WILL BE EMPLOYED CALL THE OWNER, . PERSO THEFI�.. N N ING THE WORK AUTHOM.D OF W RELATING TION; AND IN ASHMOTON TO FOR INsPECTIc IN VjOLATI HOF TH R CODE OF THE STATE 27 E AND RCW 18 IDC We E ON SIG ER A '3/ (425) 771-0220 1333 ATTENTION BUILDING OR STRUCTURE UNTIL 771-0221 IT IS UNLAWFUL TO USE OR OCCUPY A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI 109 FAX A CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 1010i Recording Fee City Surcharge State Surcharge plan Chk Deposit R .. P1 11 Total Arrm.rS Due Receipt # u,,W'jQr,xJ �y - Wd Fe's 890 PsId. ORK31NAL-FILE YE"W�INSPECI PINK. OWNER GOLD -ASSESSOR V1 9 i z 0 0 ITT C a m 0 —4 0 0 C: ITT ISS z 0 It m M a FA 0 o C M 0 z 0) z 0 ITT el Fli u w ix RS LcCA7ZFr> 00 ?9LVA-M sisi LTY -ro pp,p" I AMR Cy EDP)( P�AN �Nj N G APPROVED PkS NOTED By GIN ERI G 6v� UBC BUILDING DEPARTMENT ZONE lAf0pv n' 7�- SETBACKS: ADC' .7, FRONT ------------- SIDE 0\.,Vlk CITY COPY HEAR DATE: AP ROVED DATE:� OTHER rICI L BLDG, OFFICIAL HEIGHT pERmff MU RECEIVED NO" 13 2001 DEVEIMMENT SERVICES CTR. 611.1" OFEDMONDS FINAL PROJECT APPROVAL FORM TO:- DATE: — MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: —FR;LE DEPARTMENT DATE — ENGINEERING DIVISION DATE--!� PLANNING DIVISION DATE— PROJEC q1L Rye - SITE ADDRESS PERMIT #-InA-00 ADB#_____-PATE INSPECTED SPECTED DESCRIPTION OF WORK TO BE IN Final approval A field inspection was conducted to determine final compliance with approved plans. denotes that there are no objections from the above signed Department to the release of FORMA—NCE BONDS and the granting of: GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL wITH CONDITIONS NOTED a Copy ofCONDMONS given to owner/contractor by inspector 1. * R�Wi to �)bka IN - pl." - -A-kILED FINAL INSPECTION - OUTSTANDING ISSUES' &0""�Pfrt LLV*'� 51-Mos 50 0 Copy ofcoRRECTION NOTICE given to owner/contWtor by inspector j10 CW&fiffl Y1611VW I. gww ku SM Ywv)ib W"IA &h� '#rW4d - 2. t'"N. 0 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date- Sign, ocaprvl.doc.l:t=V:bldg:fonnsIO/OI z 0 i 0 0 C M rn 0 --10 00 C M rn z -i -Z F- -1 � X. 0 -n n rn rn 0 6i 0 � 0 rn C in K (n rn 0 Z 71 z --I x En z 0 1 0 M MAL PROJECT APPRQVAL FCLRM DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE — ENGINEERING DIVISION DATE PLANNING DIVISION DATE- 4— PROJECT 51 q�lt� 4,1k S SITE ADDRESS — PERMIT g INSPECTED� DESCRIPTION OF WORK TO BE INSPEC A field inspection was conducted to determine final compliance with approved plans. Final approval.. ent to the release of denotes that there are no objections from the above signed Departm PERFORMANCE BONDS and the granting of: GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED U copy of CONDITIONS gi';en to owner/contractor by inspector FAILED FINAL INSPECTION - OUTSTANDING ISSUES 0 Copy of CORRECTION NOTICE given to owner/contractor by inspector [I 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date____� Sign___, ocaprvl.doc.l:tmV:bldg:fOrtwlo/o1 z 9 0 M =i5i M rn 0 --10 00 C M M z 0-4 z --I C) o'n n -4 x M M a 0 0 M C 0) ?. 0) M 0 Z M z co z 0 -j 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... U� FOUNDA71ON: Footing ...................... wait.......................... Pier/Porch ................. 0: Retaining Wall ........... Slab Insulation PLUMBING: ............. MUnderground Rough -In ................... M Commercial Final HEATING: Gas Test .................... Gas Piping .............. Equipment ........... Commercial Final ITI EXTERIOR SHEATHING W NAILING .......................... C FRAMING ........................ 0 FIRST FLOOR FRAMING INSULATION ................... Floor insulation Wall Insulation ........... Ceiling Insulation W SHEETROCK NAILING SPECIAL INSPECTION MISCELLANE06S .......... FINAL APPROVAL FOR 47iwl, OCCUPANCY .................. RECEIVE D PERMIT EXPIRES U a E P E R M T USE PERMIT Coel ONDS Zo A E - LV t N U M B 'E R CITY OF EDMONDS ZONE t�9 LO NUMBER F6 I OF E D M Ty CONSTRUCTION PERMIT APPLICATION JOB — SUITEJAPT# CT'o N PE R M T APPL'CAT ON 'AD D D BESS B ADDRESS lt� CAN. ER NXIMEXWE OF BUSINESS PLAT NAME/SUBDMSION NO, LOT NO UD NO. IF I�INE LOT 2�2LA I & I, / . r LI. F E S MAILING ADDRESS PUSU- BIG- OF WAY PER OFFICIAL STREET MAP PUBUC RIGHT.OF WAY PER OFFICIAL STREET MAP S-LI, EXISTING — PROPOSED� CITY ZIP 11111"11E Q C T, E UIRED DEDICATION— FT ID DEDI A U. ON— R RED 13. 'YETER SIZE LINE a'_ N. OF F'_' BE. PRV SQUIRED NANE YEsE3 No E3 REMARKS 0., ADDRESS ._—B, I, FOR EROSION CONTAOLIOMAXOE OWNER, AA To ES A ON CON A_� P&AA/ CRY ZIP ITEILEPHORI NAME ENGINEERING REVIEWEDJDATE EN G'N'E 'NG ADDRESS 0 /76, DATE BE IE.ED Y RAE REVIEWED BY Ev CITY, ZIP x JTELEIHOIII VARANCE OR CU SHORELINE OR ADBO I N 8 P pGn _0N BOND SHOP 'D ED Y STATE LICENSE NUMBER EXPIRATION DATE CHECKED By RSEG POST [3YE — NO $EPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT A PROPERTY TAX ACCOUNT PARCEL NO. ALL. I pR PR ED WR �1 � 00 leez) W EXT 74 LOT COVE GE REQUIRED SETBACKS (FTJ PROPOSED SETBACKS (FT. LJA r PLUMBINGIMECH D P SED FRONT SIDE, REAR FRONT �DE BEAR RESIDENTTI� ALLOW COMPLIANCE OR A 2z G G, ADDITION COMMERCIAL CHANGE OF USE I ORM Y DATE EA PAR NG LI IT AREA, I P 0 REMODEL [:I APARTMENT SIGN REC' PROVIDED 1 0 1 J64 R, REM K 5 Ott,( F1 [3 REPAIR 0 GRADING CYDS BE AR% Co DEMOUSH F] TANK ci OTHER GARAGE RETAINING WALL CARPORT 0 ROOKERY RENEWAL 124 TYPE or CONSTR ON Oq OCCUPA ITYPE OF USE. BUSINESS GR54�WMN: CHECKED 'Y 'C --OU C. -NUMER F MC HUM ER 0 OR OCCUPANT -P 8 or UWELLANG AREAS STORIES NITS A Ic REQUIRED [:] YES LOAD -,Jr�j_._,�LIOIECTOR JAREA DESCRIBE WORK TO BE DONE A I REMARKS PROGRESS INSP�CTIONS PER UpC 12 /F INSTTION RE(ZD VAWATION $ T'ON $ Descriplilon D RIC, 'P' a FEE— —Description FEE "W'.IALUA lack Plan Check R a C A GLAZING Building Building PLAN CHECK NO: VEST— ac�'.Tuca' Mechanical WCAKIO THIS PERMIT AUTHORADEB ONLY THE WORK NOTED. THIS PERIUM COVERS WORKIO W =0N`CG AS Recording Fee �=K —=a YA PLAIU BE DONE ON PRIVATE pRopEaRy OHM ANy CoNsTRUCTION ON THE PUBLIC Grading ETC.) MU REQUIRE DO&UUN JCUASB, SIDEWALKS, DRIVEIVAYS, MARQUEES, SEPARATE PERMISSION. Engr. Review City Surcharge State Surcharge PERMTr LJMM 1 PEFLMPFAPPLGATIO�' 100 DAYS At :-.A ye^R.PRWDEDW KISITTARTEDWAININ 180DAYS Engr. Inspection SEB BACK OF PINK PErairr"FROR MORE INFORMATION IN S AND a E PLICANT, ON SENALP OF He OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS Traffic Mitigation Plan Chk Deposit Receipt # MLESS INTEERETT, AGREE TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF Are AN EDMONDS, HimaToN, its OFFICIALS, EMPLOYEES. AND AGENTS MOM ANY AND ,BE CTL On Y. ALL CLAKSWAS DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Fo Ly �Mna HALL HOT E FROM THE IU=E OF THIS FERMM ISSUANCE OF THIS PERMIT SHALL NOT BE Fire Review Fire Inspection Fire Irtap--flOn Total Amount D us CRY BD..E DEIMIO TO MODIFY, WNIVE OR BE LICE ANY REGUIREMENT OF ANY CITY ORDINANCE P1 NOR LIMIT 91 ANY WAY THE Crrye ABILIPTY 1. ENFORCE ANY M-INANCE PROVISION.- Sip. Landscape In I HERM ACKNOWLE E THAT HAVE nm THIS APPLICATION: THAT 'HE INFORMATION DO APPI ICATION A PPROVAL GIVEN 0 CORRECT. &%. THAT AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF W��n 1. x,I � P—It I -IN WIFKBI bY I"I- E STRUC. THE OWNER. I ABBE To COMPLY WITH CITY AND STATE LAWS REGULATING CON CALL CAL Nn. 0. d T.. .. P�. WY: TION: AND IN DOING E WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED THE STATE OF WASHINGTON RELATING TO FOR INSPECTION 0 IMS r IN VIOLATION OF INTELABOR CODE OF WORKME INSURANg AND RCYV 19.27.. OF SIGNATUR rtTp TE '703 (425) , BIG 10 771-0220 ATTENTION EXT 1333 BE ASED BY IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI. CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER DOW - ASSESSOR ta',a, z 0 d 0 0 M C M0 0 80 C M C2 0 M M 0 0 C M 0 M z 9 0 M